Basa, Marie Shyrell

Basa, Marie Shyrell is an individual health care provider with primary practice located at 15975 Harbor Blvd , Fountain Valley CA 92708-1303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Basa, Marie Shyrell can be contacted via phone (714) 546-6575.

Contact Information

Primary practice address
15975 Harbor Blvd Fountain Valley CA 92708-1303
Phone: (714) 546-6575
Fax: (714) 551-9411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 673060 California

Profile Details

NPI number 1356739767
LBN Legal business name Basa, Marie Shyrell
Credentials FNP - BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2015
Last updated Mar 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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